Evaluation of Socioeconomic and Occupational Barriers to Breastfeeding: A Comparative Study Among Weaving Mothers
Abstract
In Indonesia, stunting continues to affect many children, making breastfeeding practices a critical focus of early prevention. Mothers working in the informal sector, such as traditional weavers, often encounter occupational and socioeconomic barriers that may hinder optimal breastfeeding. This study aims to describe the sociodemographic characteristics of weaving mothers and compare the mean scores of Early Initiation of Breastfeeding (EIBF) implementation and knowledge of exclusive breastfeeding between North Tapanuli and Samosir, North Sumatra. A cross-sectional study was conducted among 72 weaving mothers, with 36 respondents from Siatas Barita Health Center, (North Tapanuli) and 36 from Buhit Health Center (Samosir) selected through purposive sampling. Data were collected using a structured questionnaire and analyzed descriptively through frequency distributions, percentages, and mean scores. Most respondents were aged 26–35 years and had completed senior high school. The mean EIBF score was 3.19 in North Tapanuli and 2.89 in Samosir, both classified as high. The mean score for exclusive breastfeeding knowledge was 3.25 in North Tapanuli (very high) and 2.79 in Samosir (high). These findings suggest that weaving mothers in North Tapanuli had higher EIBF implementation and higher knowledge of exclusive breastfeeding knowledge compared to those in Samosir. Region-specific breastfeeding education and community-based support are recommended, particularly in Samosir, to strengthen maternal knowledge and promote optimal breastfeeding practices.
Keywords: Breastfeeding, Occupational Barriers, Weaving Mothers, Comparative Study.
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Akseer, N., Vaivada, T., Rothschild, O., Ho, K., & Bhutta, Z. A. (2020). Understanding multifactorial drivers of child stunting reduction in Exemplar countries: a mixed-methods approach. The American Journal of Clinical Nutrition, 112, 792S-805S. https://doi.org/10.1093/ajcn/nqaa152
Ariani, M. (2020). Determinan Penyebab Kejadian Stunting Pada Balita: Tinjauan Literatur. Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, 11(1), 172–186. https://doi.org/10.33859/dksm.v11i1.559
Ayalew, G., Gessesse, A. D., Tigabu, D., Admass, Z. E., Girma, B., Ayehu, M., Sibhat, M. M., Demeke, A. D., Aragaw, G. M., & Kelkay, J. M. (2024). Timely initiation of breastfeeding and its associated factors among immediate postpartum mother-newborn pairs in Debre Tabor comprehensive specialized hospital, South Gondar Zone, North West, Ethiopia. BMC Pregnancy and Childbirth, 24(1), 735. https://doi.org/10.1186/s12884-024-06934-w
Ayue, H. I., Nurdiana, N., Wardhani, V., Astuti, A. B., Prayitno, H., Laksono, A. D., & Sundjaya, T. (2025). Exploring the multifactorial predictors of stunting in children under five: A systematic review of the literature, 2015–2024. Journal of Public Health Research, 14(4), 22799036251403944. https://doi.org/10.1177/22799036251403945
Beyene, B. N., Wako, W. G., Moti, D., Edin, A., & Debela, D. E. (2025). Postnatal counseling promotes early initiation and exclusive breastfeeding: a randomized controlled trial. Frontiers in Nutrition, 12, 1473086. https://doi.org/10.3389/fnut.2025.1473086
Chalid, I., Maliati, N., Meliza, R., Yunanda, R., Riski, A., Kamil, A. I., Ilham, I., & Arifin, A. (2022). Stake Holder Convergence towards Stunting Prevention at Gampong Level. 2nd International Conference on Social Science, Political Science, and Humanities (ICoSPOLHUM 2021), 143–147. https://doi.org/10.2991/assehr.k.220302.022
Damayanti, W. (2018). Analisis pelaksanaan inisiasi menyusu dini (imd) di Puskesmas kabupaten tangerang provinsi banten. IMJ (Indonesian Midwifery Journal), 1(2). https://doi.org/10.31000/imj.v1i2.2178
Ganbold, G., Farnaz, N., Scutts, T., Borg, B., & Mihrshahi, S. (2025). The Association Between Exclusive breastfeeding and Diarrhoea Morbidity in Infants Aged 0–6 Months: A Rapid Review and Meta‐Analysis. Maternal & Child Nutrition, 21(3), e70042. https://doi.org/10.1111/mcn.70042
Gusnedi, G., Nindrea, R. D., Purnakarya, I., Umar, H. B., Susilowati, A., & Lipoeto, N. I. (2023). Risk factors associated with childhood stunting in Indonesia: A systematic review and meta-analysis. Asia Pacific Journal of Clinical Nutrition, 32(2). https://doi.org/10.6133/apjcn.202306_32(2).0001
Hafid, F., Taqwin, T., Linda, L., Nasrul, N., Ramadhan, K., & Bohari, B. (2021). Specific Interventions to Prevent Stunting in Children Under 2 Years after the Natural Disaster. Open Access Macedonian Journal of Medical Sciences, 9(E), 64–69. https://doi.org/10.3889/oamjms.2021.5677
Khoiriyah, H. I., Pertiwi, F. D., & Prastia, T. N. (2021). Faktor-faktor yang berhubungan dengan kejadian stunting pada balita usia 24-59 Bulan di Desa Bantargadung Kabupaten Sukabumi Tahun 2019. Promotor, 4(2), 145–160.
Kragel, E. A., Merz, A., Flood, D. M. N., & Haven, K. E. (2020). Risk factors for stunting in children under the age of 5 in rural guatemalan highlands. Annals of Global Health, 86(1), 1–5. https://doi.org/10.5334/aogh.2433
Kusumawati, E., Rahardjo, S., & Sistiarani, C. (2018). Multilevel Intervention Model to Improve Nutrition of Mother and Children in Banyumas Regency. Jurnal Kesehatan Masyarakat, 12(2), 277–285. https://doi.org/10.15294/kemas.v12i2.4990
Munira, S. L. (2022). Hasil Survei Status Gizi Indonesia (SSGI) 2022.
Nisa, L. S. (2019). Kebijakan Penanggulangan Stunting Di Indonesia. JURNAL Kebijakan Pembangunan, 13(2), 173–179.
Nkoka, O., Ntenda, P. A. M., Kanje, V., Milanzi, E. B., & Arora, A. (2019). Determinants of timely initiation of breast milk and exclusive breastfeeding in Malawi: a population-based cross-sectional study. International Breastfeeding Journal, 14, 1–9. https://doi.org/10.1186/s13006-019-0232-y
Novianti, N., Mujiati, M., & Amaliah, N. (2018). Analisa Proses Pelaksanaan Inisiasi Menyusu Dini: Studi Kasus Di Rumah Sakit Swasta X Dan Rumah Sakit Pemerintah Y Di Jakarta. Jurnal Kesehatan Reproduksi, 9(2), 135–148.
Patriota, É. S. O., Abrantes, L. C. S., Figueiredo, A. C. M. G., Pizato, N., Buccini, G., & Gonçalves, V. S. S. (2024). Association between household food insecurity and stunting in children aged 0− 59 months: Systematic review and meta‐analysis of cohort studies. Maternal & Child Nutrition, 20(2), e13609. https://doi.org/10.1111/mcn.13609
Pramono, A., Smith, J., Bourke, S., & Desborough, J. (2022). How midwives and nurses experience implementing ten steps to successful breastfeeding: a qualitative case study in an Indonesian maternity care facility. International Breastfeeding Journal, 17(1), 84. https://doi.org/10.1186/s13006-022-00524-2
Ruaida, N. (2018). Gerakan 1000 hari pertama kehidupan mencegah terjadinya stunting (gizi pendek) di indonesia. Global Health Science, 3(2), 139–151. https://doi.org/10.33846/ghs.v3i2.245
Schnee, A. E., Haque, R., Taniuchi, M., Uddin, M. J., Alam, M. M., Liu, J., Rogawski, E. T., Kirkpatrick, B., Houpt, E. R., Petri, W. A., & Platts-Mills, J. A. (2018). Identification of Etiology-Specific Diarrhea Associated with Linear Growth Faltering in Bangladeshi Infants. American Journal of Epidemiology, 187(10), 2210–2218. https://doi.org/10.1093/aje/kwy106
Sukarti, N. N., Windiani, I. G. A. T., & Kurniati, D. Y. (2020). Hambatan keberhasilan pelaksanaan inisiasi menyusu dini (IMD) pada ibu bersalin di rumah sakit umum pusat Sanglah Denpasar. Jurnal Ilmiah Kebidanan (The Journal Of Midwifery), 8(1), 40–53. https://doi.org/10.33992/jik.v8i1.1197
Sumarni, S., Oktavianisya, N., & Suprayitno, E. (2020). Pemberian ASI Eksklusif Berhubungan dengan Kejadian Stunting pada Balita di Pulau Mandangin Kabupaten Sampang. Jurnal Riset Hesti Medan Akper Kesdam I/BB Medan, 5(1), 39–43. https://doi.org/10.34008/jurhesti.v5i1.174
Susianto, S. C., Suprobo, N. R., & Maharani, M. (2022). Early Breastfeeding Initiation Effect in Stunting: A Systematic Review. Asian Journal of Health Research, 1(1), 1–6. https://doi.org/10.55561/ajhr.v1i1.11
Trickey, H. (2018). Theorising breastfeeding peer support as intervention in a complex ecological system: lessons for implementation and evaluation in a Welsh context. Cardiff University.
Woldeamanuel, B. T. (2020). Trends and factors associated to early initiation of breastfeeding, exclusive breastfeeding and duration of breastfeeding in Ethiopia: evidence from the Ethiopia Demographic and Health Survey 2016. International Breastfeeding Journal, 15(1), 3. https://doi.org/10.1186/s13006-019-0248-3
Yekti, R. (2020). SDGs (Sustainable Development Goals) dan 1000 Hari Pertama Kehidupan. Fakultas Kedokteran Universitas Kristen Indonesia, 1–23.
DOI: http://dx.doi.org/10.30829/contagion.v8i2.28584
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